employee
Moscow, Russian Federation
Russian Federation
employee
Russian Federation
employee
Russian Federation
Russian Federation
Russian Federation
Russian Federation
Russian Federation
employee
Moscow, Russian Federation
employee
GRNTI 76.33 Гигиена и эпидемиология
GRNTI 76.03 Медико-биологические дисциплины
OKSO 31.06.2001 Клиническая медицина
OKSO 31.08.08 Радиология
OKSO 32.08.12 Эпидемиология
OKSO 14.04.02 Ядерные физика и технологии
BBK 534 Общая диагностика
BBK 51 Социальная гигиена и организация здравоохранения. Гигиена. Эпидемиология
TBK 5712 Медицинская биология. Гистология
TBK 5734 Медицинская радиология и рентгенология
TBK 6212 Радиоактивные элементы и изотопы. Радиохимия
TBK 5708 Гигиена и санитария. Эпидемиология. Медицинская экология
Purpose: To evaluate in dynamics the psychophysiological adaptation of a patient who received local radiation damage to the tissues of the left half of the chest IV (extremely severe) severity (23 years of observation). Material and methods: Patient KTS, 66 years old, as the main diagnosis are the effects of local radiation damage to the skin and underlying tissues of the left half of the chest from external radiation (about 3 % of body surface area) IV extremely severe. Before receiving a radiation injury, she was able-bodied and socially adapted, worked as a nurse. In 1996, she was diagnosed with stage I left breast cancer T1N0M0 stage I, in connection with which she underwent a sectoral resection of the mammary gland. Then the patient underwent a course of radiation therapy. By retrospective assessment, the total dose of therapeutic effect before the incident was 10 Gy. At the time of the next session of radiation therapy in connection with the breakdown of the apparatus, a sharp uncontrolled increase in the dose of ionizing radiation (more than 100 Gy) occurred, causing serious injury. The patient was admitted to the Institute of Biophysics Clinic on the 5th day. Psychophysiological research was carried out with the use of automated software and methodic complex «Expert», designed to study the personal characteristics of a person, cognitive and intellectual personality characteristics in 2001 – 2017 years. Results: The effects of local radiation damage to the skin and underlying tissues of the left half of the chest from external irradiation of IV (extremely severe) degree in the form of cicatricial-atrophic changes of the soft tissues, with no bone skeleton remain. Disorders of mental adaptation are expressed in the form of senesto-hypochondria disorders, autism of perception, demonstrativeness, apathetic depression and introversion. The most profound contribution to the reduction of the adaptation of the victim is brought about by the features of deep internal disharmony caused by contradictory combinations of demonstrativeness, schizoid traits, anxious depression and affective rigidity. Conclusion: The data obtained indicate that impaired mental adaptation is an integral part of the clinical picture of local radiation injuries, and reveal the urgent need not only of specific treatment of radiation injury, but also of psychotropic pharmacotherapy and psychotherapy.
local radiation injury, psychophysiological examination, infringement of mental adaptation
1. Barabanova A.V., Baranov E.A., Bushmanov A.Yu., Gus'kova A.K. Radiacionnye porazheniya cheloveka. M.: Slovo, 2007. 296 s.
2. Berezin F.B., Miroshnikov M.P., Sokolova E.D. Metodika mnogostoronnego issledovaniya lichnosti. Struktura, osnovy interpretacii, nekotorye oblasti primeneniya. M., 1999. 175 s.
3. Kolodzin B. Kak zhit' posle psihicheskoy travmy. M.: Shans, 1992. 92 s.
4. Lazarus R. Teoriya stressa i psihofiziologicheskie issledovaniya. Emocional'nyy stress. Per. s angl. M., 1970. S. 178-208.
5. Larcev M.A., Bagdasarova M.G., Koloshuk O.P. Psihofiziologicheskoe obespechenie uchastnikov likvidacii posledstviy chrezvychaynyh situaciy: Prakticheskoe rukovodstvo. M.: FGU «VCMK «Zaschita», 2005. 212 s.
6. Liberman A.N. Radiaciya i stress. Social'no-psihologicheskie posledstviya Chernobyl'skoy avarii. SPb., 2002. 215 s.
7. Metlyaeva M.A. Ocenka effektivnosti psihologicheskoy adaptacii k usloviyam social'noy sredy bol'nyh ostroy luchevoy bolezn'yu i uchastnikov likvidacii avarii na ChAES // Medicinskaya radiologiya i radiacionnaya bezopasnost'. 2009. T. 54, № 5. S. 36-42.
8. Nadezhina N.M., Sachkov A.V., Filin S.V. i dr. Diagnostika, lechenie i prognozirovanie mestnyh luchevyh porazheniy u postradavshih v radiacionnyh avariyah // Materialy nauchnoy konferencii hirurgov Federal'nogo upravleniya «Medbioekstrem» «Sovremennye aspekty organizacii, diagnostiki i lecheniya bol'nyh hirurgicheskogo profilya», 27-29 sentyabrya 2000 g. M., 2000. S. 95-98.
9. Narkevich B.Ya., Kostylev V.A., Levchuk A.V. i dr. Radiacionnaya bezopasnost' v medicinskoy radiologii. Chast' 2. Obespechenie radiacionnoy bezopasnosti pacientov // Klinicheskaya medicina. 2009. T. 54, №.3. S. 46-58.
10. Bromet EJ, Parkinson DK, Dunn LO. Long-term mental health consequences of the accident at Three Mile Island // Intern. J. Mental Health. 1990. V.19, No.2. P.48-60.
11. Metlyaeva N.A., Bushmanov A.Yu., Krasnyuk V.I. i dr. Psihofiziologicheskaya adaptaciya bol'nyh s mestnymi luchevymi porazheniyami v zavisimosti ot nalichiya ili otsutstviya ustanovlennoy svyazi s neschastnym sluchaem na proizvodstve v svyazi s radiacionnoy avariey ili incidentom // Medicinskaya radiologiya i radiacionnaya bezopasnost'. 2018. T.63, №5. S. 11-18. DOI:https://doi.org/10.12737/article_5bc895f377f578.86526226
